Functional outcomes of proximal tibia fractures in adults using KOOS.

Complex intra-articular injuries like proximal tibial fractures need validated patient-reported functional outcomes. Functional outcomes of 30 adults undergoing locking plate ORIF for closed proximal tibia fractures were assessed via KOOS at 1.5, 3 and 6 months postoperatively (September 2022-February 2024). The cohort consisted of middle-aged males (76.7%, mean age 44.33 ± 13.19 years) with the most common fracture patterns being Schatzker Type-5 (46.7%) and Type-6 (30%). Patients experienced bone union at 15.03 ± 1.61 weeks without complications. Overall KOOS scores improved significantly from 6 weeks to 6 months (51.80 ± 8.79 to 85.73 ± 4.65, p<0.001), with sport/recreation function gaining the most (30.83 to 74.50). Open reduction and internal fixation with locking plate constructs improves functional outcomes in proximal tibial fractures, and KOOS can assess mid-term functional recovery across Schatzker classification types.